Doctor Name: | TERRY E. LEAK |
NPI Number: | 1609081512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PTA |
License Number: | PTA-04123 |
Business Practice Address: | 10 N Locust St Suite A Oxford, OH - 450561192 |
Business Phone Number: | 5135239391 |
Business Fax Number: | |
Mailing Address: | 9469 Kenwood Rd, CINCINNATI |
State: | OH |
Postal Code: | 452426814 |
Phone Number: | 5137016100 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTA-04123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |